- Children's Hospital Los Angeles (Los Angeles, CA)
- …patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer ... years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of… more
- Endo International (Glendale, CA)
- …maintain call objectives for geography with minimal consultation with Regional Sales Manager (RSM) to assure proper portfolio balance and planned actions. + Develop ... maintain performance guidelines for the following metrics: call activity, appropriate utilization of samples, Quarterly Business Plan update. + Incorporate and… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230272/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230024/ case - manager -%28rn-%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229421/ case - manager -%28rn%29 ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management … more
- Elevance Health (Los Angeles, CA)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the exception ... critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate… more
- UCLA Health (Los Angeles, CA)
- …discharge planning. Under the direction of the Assistant Director, the ICM Nurse Case Manager - Oncology performs complex care coordination for high-risk MA ... cancer patients. The Nurse Case Manager uses the nursing process to...RN + Preferably minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- Cedars-Sinai (Beverly Hills, CA)
- …the daily functions of the inpatient case managers. The inpatient case manager conducts case management on patients in the inpatient, and Skilled ... More About What You Will be Doing** The Lead Case Manager will assist in the daily...experience required + 3 years of previous experience in case management , discharge planning, utilization … more
- Elevance Health (Los Angeles, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- Rising Medical Solutions (Los Angeles, CA)
- …best practices in workers compensation management . We are searching for a case manager with a proven background in workers compensation-someone who is ... the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization … more
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case … more
- Amgen (Los Angeles, CA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... to support optimal patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of each account. This includes… more
